| NPI | 1396958500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MARIE LINEHAN Office Manager 231-487-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI AL052216) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2011-07-13 |